Bilateral Metallic Stenting in Malignant Hilar Obstruction

被引：26
作者：
Lee, Tae Hoon [1 ]
Moon, Jong Ho [1 ]
Park, Sang-Heum [1 ]
机构：
[1] Soonchunhyang Univ, Soonchunhyang Univ Cheonan Hosp, Coll Med, Dept Internal Med,Div Gastroenterol, 31 Suncheonhyang 6 Gil, Cheonan 330930, South Korea
来源：
CLINICAL ENDOSCOPY | 2014年 / 47卷 / 05期
关键词：
Hilar cholangiocarcinoma; Metal stents; Bilateral drainage;
D O I：
10.5946/ce.2014.47.5.440
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Endoscopic palliative biliary drainage is considered as a gold standard treatment in advanced or inoperable hilar cholangiocarcinoma. Also, metal stents are preferred over plastic stents in patients with > 3 months life expectancy. However, the endoscopic intervention of advanced hilar obstruction is often more challenging and complex than that of distal malignant biliary obstructions. In this literature review, we describe the issues commonly encountered during endoscopic unilateral (single) versus bilateral (multiple) biliary stenting for malignant hilar obstruction. Also, we provide technical guidance to improve the technical success rates and patient outcomes, focusing on bilateral metallic stenting techniques such as stent-in-stent or side-by-side deployment.
引用
收藏
页码：440 / 446
页数：7
相关论文
共 50 条
  • [41] Endoscopic stenting for hilar cholangiocarcinoma: efficacy of unilateral and bilateral placement of plastic and metal stents in a retrospective review of 480 patients
    Antunes Liberato, Manuel Jose
    Tavares Canena, Jorge Manuel
    BMC GASTROENTEROLOGY, 2012, 12
  • [42] Endoscopic Stenting of a Fully Covered Self-Expandable Metal Stent with a Hole in Each Cavity in Malignant Hilar Biliary Obstruction: A Preclinical Proof-of-Concept Study and Initial Human Experience
    Lee, Jungnam
    Jeong, Seok
    Lee, Don Haeng
    Lim, Jung-Hyun
    Kobayashi, Makoto
    Takenaka, Mamoru
    Kwon, Chang-, II
    DIGESTIVE DISEASES AND SCIENCES, 2025, 70 (03) : 1215 - 1222
  • [43] Combination of endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography-guided biliary drainage in malignant hilar biliary obstruction
    Kongkam, Pradermchai
    Tasneem, Abbas Ali
    Rerknimitr, Rungsun
    DIGESTIVE ENDOSCOPY, 2019, 31 : 50 - 54
  • [44] Efficacy and safety of EUS biliary drainage in malignant distal and hilar biliary obstruction: A comprehensive review of literature and algorithm
    Khoo, Stanley
    Nhan Duc Tri Do
    Kongkam, Pradermchai
    ENDOSCOPIC ULTRASOUND, 2020, 9 (06) : 369 - 379
  • [45] The evolution and the natural selection process in the stenting of malignant bile duct obstruction: size does matter!
    Noar, Mark David
    GASTROINTESTINAL ENDOSCOPY, 2009, 70 (03) : 454 - 456
  • [46] A Meta-Analysis of Endoscopic Stenting Versus Surgical Treatment for Malignant Gastric Outlet Obstruction
    Del Nero, Lorenzo
    Sheijani, Afscin Djahandideh
    De Ceglie, Antonella
    Bruzzone, Marco
    Ceppi, Marcello
    Filiberti, Rosa Angela
    Siersema, Peter
    Conio, Massimo
    WORLD JOURNAL OF SURGERY, 2023, 47 (06) : 1519 - 1529
  • [47] Newly designed plastic stent for endoscopic placement above the sphincter of Oddi in patients with malignant hilar biliary obstruction
    Ishiwatari, Hirotoshi
    Hayashi, Tsuyoshi
    Ono, Michihiro
    Sato, Tsutomu
    Kato, Junji
    DIGESTIVE ENDOSCOPY, 2013, 25 : 94 - 99
  • [48] Simultaneous Versus Sequential Side-by-Side Bilateral Metal Stent Placement for Malignant Hilar Biliary Obstructions
    Inoue, Tadahisa
    Ishii, Norimitsu
    Kobayashi, Yuji
    Kitano, Rena
    Sakamoto, Kazumasa
    Ohashi, Tomohiko
    Nakade, Yukiomi
    Sumida, Yoshio
    Ito, Kiyoaki
    Nakao, Haruhisa
    Yoneda, Masashi
    DIGESTIVE DISEASES AND SCIENCES, 2017, 62 (09) : 2542 - 2549
  • [49] Simultaneous Versus Sequential Side-by-Side Bilateral Metal Stent Placement for Malignant Hilar Biliary Obstructions
    Tadahisa Inoue
    Norimitsu Ishii
    Yuji Kobayashi
    Rena Kitano
    Kazumasa Sakamoto
    Tomohiko Ohashi
    Yukiomi Nakade
    Yoshio Sumida
    Kiyoaki Ito
    Haruhisa Nakao
    Masashi Yoneda
    Digestive Diseases and Sciences, 2017, 62 : 2542 - 2549
  • [50] Percutaneous stent placement for malignant hilar biliary obstruction: side-by-side versus stent-in-stent technique
    Zhou, Wei-Zhong
    Liu, Sheng
    Yang, Zheng-Qiang
    Xian, Yu-Tao
    Xu, Hong-dou
    Wu, Jun-zheng
    Shi, Hai-Bin
    BMC GASTROENTEROLOGY, 2020, 20 (01)
12345